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From transcribe
- Name in full is Black Annie Maud
- Date of birth Day 28 Month 01 Year 1885
- Place of birth Snowflake, Manitoba
- Maiden name Patterson
- Husband's given name William Campbell
- Wife's full maiden name Annie Maud Patterson
- Father John Patterson
- Mother Sophia White
- Given names of brothers or sisters Ada, Martha, Sarah, Frank, George
